WooferRepair.com

1119 Greentree Court, Lexington, KY 40517 - Phone: 859-539-7176

Printable Order Form

All kits will be shipped by USPS Priority mail in USA, USPS parcel post air mail to Canada and other countries.

SHIP TO:

Name:        _______________________

Co. Name: _______________________

Address:    _______________________

Address:    _______________________

City:___________________ State:___________

Zip:_____________ Country:_______________

PAYMENT METHOD:

Check#:_______   Money Order: $___________

Phone:  (____) -______-________

Please make checks payable to: WooferRepair

Email Address; _____________________

Please supply the following items

KIT #

PRODUCT DESCRIPTION

QTY

TOTAL AMOUNT

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$

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$

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$

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$

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Shipping Rates:  $6.00 for each kit to USA and Canada,

$1.00  for each additional kit.  Other Countries email for shipping.

Shipping

$

Total

$

Please mail completed form to:

WooferRepair

1119 Greentree Court

Lexington, KY 40517